Getting Ready to Play:

  • Be sure to have the proper shoes, ones that support your feet and are designed for court sports.
  • Give any existing injury plenty of time and rest to heal before you resume play.
  • Know how to get help quickly if you or a co-player are hurt or develop a medical problem. Is there a telephone, a first-aid kit and an automatic external defibrillator (AED) nearby? Do you have the phone number available of someone to call in case of emergency?
  • Be aware of any obstacles in the area that you might run into or trip over, such as benches or gym equipment.
  • Never play on a wet court; they are extremely dangerous. One way to check a damp court surface is to press your toe down firmly and make a twisting motion. If you leave an obvious “wet” spot it’s too wet to play.
  • Check with your doctor regarding exercise and any physical conditions that exist or may have previously existed.



Injury Prevention is Key


  • The main purpose of a warmup period is to raise the general body temperature prior to playing. When the body temperature is raised it will increase your ability to perform the stretching exercises. The warmup period should be approximately 5 minutes. Try a fast walk to the pickleball courts, riding a bike, or treadmill. These are just a few examples of a total body warmup.



Following the warmup period, begin a stretching program. This will increase your flexibility, which allows for better performance and decreases the possibility of injuries. The muscles/joints that need to be stretched are:

  • Ankles
  • Achilles tendon
  • Calf muscle
  • Quadriceps (front of upper leg)
  • Hamstrings (back of upper leg)
  • Groin
  • Low back
  • Shoulder and arms.

Start with the ankle stretch and work up toward the shoulder/neck area. For each muscle group, a place that group “on stretch,” the point a which you feel the stretch, and hold it for 10-15 seconds. Relax and repeat 3-5 times.


Eye Protection:

  • While hollow and lightweight, the ball used in pickleball is a hard polymer and can travel at a very high rate of speed. The use of proper eye protection is highly recommended for all players.


Proper Footwear:
Comfortable court shoes are a must; sneakers or running shoes do not supply the right kind of support for the side-to-side action inherent in pickleball. From FootCareMD:

  • If possible, purchase athletic shoes from a specialty store. The staff will provide valuable input on the type of shoe needed for your sport as well as help with proper fitting. This may cost a premium in price but is worthwhile, particularly for shoes that are used often.
  • Most court sports require the body to move forward, backward and side-to-side. As a result, most athletic shoes used for court sports are subjected to heavy abuse. The key to finding a good court shoe is its sole. Tennis [pickleball] players need a shoe that supports the foot during quick side-to-side movements or shifts in weight. A shoe that provides stability on the inside and outside of the foot is an important choice. Flexibility in the sole beneath the ball of the foot allows repeated, quick forward movements for a fast reaction at the net.
  • Try on athletic shoes after a workout or run and at the end of the day. Your feet will be at their largest.
  • Wear the same type of socks that you will wear for that sport.
  • When the shoe is on your foot, you should be able to freely wiggle all of your toes.
  • The shoes should be comfortable as soon as you try them on. There is no break-in period.
  • Walk or run a few steps in your shoes. They should be comfortable.



  • Learn to return lobs correctly. Never back up on your heels. Instead, turn around and go back to get to the ball. Serious head injuries can occur if you fall backward.
  • During play, if pain occurs, stop playing and ice the area of pain. Continuing to play will likely aggravate your problem.
  • Age, experience, physical condition, and athletic ability will impact the level of your game. Don’t try to make plays beyond your abilities.
  • Be sure to drink water, replenish electrolytes and eat appropriate snacks. You need a balance of electrolytes and food to prevent dehydration. Symptoms include dizziness, weakness, fatigue, an irregular heartbeat, and fainting.

Head Injury:

  • The most common head injury of concern is a concussion. A concussion is a traumatic brain injury that interferes with normal brain function. A pickleball player does not have to lose consciousness to have suffered a concussion.
  • Click Here to Read Our Concussion Protocol Guidelines



Cool Down

  • After playing, you may want to do a little stretching or take a slow walk home. This will help lower your body temperature and bring your heart rate slowly back to normal.


Possible Pickleball Injuries:

  • Ankle Sprain: A strain involves a ligament and most commonly occurs on uneven terrain, stepping on a stray ball or another player’s foot. The pain is usually felt on the outside of the ankle and there may or may not be immediate swelling. Swelling is not a sign of severity.
  • Achilles Tendon Strain: (back of the ankle) This involves a tendon or muscle group; the most common cause is a stop-and-go action or a sudden change of direction. This injury is very common in people over age 40. There is a sudden snapping feeling or a pain like being hit in the back of the leg. A rupture is obvious. There will be an indentation in the Achilles tendon area. The person cannot walk and needs immediate attention.
  • Heel Bruise: Pain occurs on the bottom of the heel with every step. This is considered an overuse injury and usually occurs over a period of time. The best treatment is rest and using a heel cup or donut during play.
  • Knee Strain: A sprain occurs by a twisting or rotation of the knee. The most common is a medial collateral sprain and the pain is on the inside of the knee, just to the side of the knee cap.
  • Hamstring, Groin or Quad Strain: The most common is a hamstring strain, generally caused by overextending or reaching to return a ball. Again, the most serious will show a sign of an indentation where the tear occurred.
  • Wrist Fracture: The most common cause is going backward for a ball, falling and landing on an extended arm. Learning to roll out of a fall and not extending your arm to land can help avoid this injury.
  • Shoulder Strain: This is often caused by overuse, too many overheads, playing too long, etc. It can also occur on a single overhead smash in which the rotator cuff muscles (top of the shoulder) are strained.



  • Ice Therapy: There is a misconception that you use heat for strains and ice for sprains. Not True! Use ice for immediate treatment of injuries. Ice, compression, and elevation should be used first for all injuries. Apply ice for a minimum of 15 minutes or until numb. Remove until the feeling is back and then replace the ice. Remember ice, compression, and elevation for a period of 24-72 hours.
  • Heat?: Heat should never be applied immediately to an injury (sprains or strains). It should only be applied after 24-72 hours.
  • Professional Care: It is always best to seek the advice of a doctor for any injury, especially for fractures, head injuries, eye injuries, 3rd-degree sprains, and strains, etc. Call 911 for any serious injury.


Special Needs:

  • Never start play without wearing prescribed braces or supports.
  • Know your exercise limits and be sure to tell co-players what they are. If you have a history of heart problems, back pain, tennis elbow, breathing problems, etc. be sure you have any equipment or medicines at hand.
How To Play

Learn to Play Pickleball


Respect, fair play and graciousness by all.